Dr Mel Clark Requias Taveros, MD | |
301 Brundage Ln, Bakersfield, CA 93304-3248 | |
(661) 323-6086 | |
(661) 324-6301 |
Full Name | Dr Mel Clark Requias Taveros |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 301 Brundage Ln, Bakersfield, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982973582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A139158 (California) | Primary |
Entity Name | Pinnacle Emergency Physicians Of Bakersfield, A Professional Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619153251 PECOS PAC ID: 7214086321 Enrollment ID: O20090520000375 |
Mailing Address | Practice Location Address |
---|---|
Dr Mel Clark Requias Taveros, MD Po Box 1559, Bakersfield, CA 93302-1559 Ph: (661) 635-3050 | Dr Mel Clark Requias Taveros, MD 301 Brundage Ln, Bakersfield, CA 93304-3248 Ph: (661) 323-6086 |
Mr. Hasmukh C Amin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9508 Stockdale Hwy, Ste 150, Bakersfield, CA 93311 Phone: 661-663-7500 Fax: 661-663-3063 | |
Dr. Suresh Kumari, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2201 Mt Vernon Ave, Ste 211, Bakersfield, CA 93306 Phone: 661-872-7000 Fax: 661-872-0499 | |
Elaine M. Drazin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3733 San Dimas St, Bakersfield, CA 93301 Phone: 800-353-5400 | |
Dr. Emad Shafic, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10014 Rosedale Hwy, Bakersfield, CA 93312 Phone: 661-215-1600 | |
Dr. Juliana O Opong, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3501 Stockdale Hwy, Bakersfield, CA 93309 Phone: 661-398-5012 Fax: 331-398-3704 | |
Ish Kumar Gulati, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3700 Parterre Ct, Bakersfield, CA 93311 Phone: 661-412-4785 Fax: 661-381-7374 | |
Linda R. Kahega, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3733 San Dimas St, Bakersfield, CA 93301 Phone: 800-353-5400 |